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Individual

DR. VICTORIA LYNN HARNESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2014-00361
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060358
PHYSICIAN LICENSE
GA
01
11D1083186
CLIA ID
GA
05
1952393225
NC
01
2014-00361
BOARD OF MEDICINE
NC
01
438111
WELLCARE
GA
05
829645739A
GA
01
BH7409356
DEA
Enumeration date
08/22/2005
Last updated
03/30/2026
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